2 May 2018
During a routine inspection
Cherry Orchard is registered to provide accommodation and nursing care for up to 40 people. The accommodation was arranged across three separate units on ground floor level, each with separate adapted facilities. All units specialise in providing care to people living with dementia. We inspected the service on 2, 3 and 4 May 2018. This was an unannounced inspection. There were 31 people using the service at the time of our inspection.
The service had a manager who was in the process of applying to become the registered manager for the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At the last inspection on 10, 11 and 17 February 2016 the service was rated Good overall with a rating of Requires Improvement in effective. We made a recommendation because staff did not always receive regular one to one supervision and some staff needed to improve their knowledge of the Mental Capacity Act (2005). At this inspection we found improvements had been made to meet the recommendation.
People told us they felt safe using the service and their relatives agreed. Staff received safeguarding training and knew how to report safeguarding concerns. Recruitment checks were in place to ensure new staff were suitable to work at the service.
Risk assessments were completed and management plans put in place to enable people to receive safe care and support. Staff had a good understanding of infection control procedures and used personal protective clothing such as aprons and gloves to prevent the spread of infection. There were systems in place to manage people’s medicines so they received them when needed.
There were effective and up to date systems in place to maintain the safety of the premises and equipment. Lessons were learnt when accidents and incidents occurred to minimise the risk of recurrence.
People’s needs were assessed before they began using the service and they had access to healthcare professionals as required to meet their needs. Personalised care plans were in place, reflected people’s needs and were updated regularly.
Staff had a clear understanding of the application of the Mental Capacity Act 2005 and appropriate applications for Deprivation of Liberty Safeguards had been made and authorised. People using the service had access to healthcare professionals as required to meet their needs. People were offered a choice of nutritious food and drink to maintain good health.
Staff knew people they were supporting including their preferences to ensure personalised care was delivered. People using the service and their relatives told us the service was caring and we observed staff supporting people in a caring and respectful manner. Staff respected people’s privacy and dignity and encouraged independence. People had the opportunity to participate in a programme of meaningful activities. People and their relatives knew how to make a complaint.
Regular meetings took place for staff, people using the service and their relatives. The service had systems in place to seek the views of people and their relatives regarding the quality of the service. Quality monitoring systems were in place to identify areas of improvement.
People and their relatives told us the manager and management team were supportive and approachable.